| Walpole Behavioral Healthcare, Llc | |
|
841 Main St Ll2 Walpole MA 02081-2997 | |
| (508) 660-6699 | |
| (508) 660-6658 |
| Full Name | Walpole Behavioral Healthcare, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 841 Main St, Walpole, Massachusetts |
| Authorized Official Name and Position | James G Farnham (OWNER) |
| Authorized Official Contact | 5086606699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walpole Behavioral Healthcare, Llc 841 Main St Ll2 Walpole MA 02081-2997 Ph: (508) 660-6699 | Walpole Behavioral Healthcare, Llc 841 Main St Ll2 Walpole MA 02081-2997 Ph: (508) 660-6699 |
| NPI Number | 1326590332 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/26/2016 |
| Medicare PECOS PAC ID | 2062798887 |
|---|---|
| Medicare Enrollment ID | O20170411000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326590332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 114117 (Massachusetts) | Primary |
| Provider Name | Lisa R Ahmed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295710549 PECOS PAC ID: 4082642905 Enrollment ID: I20050802000404 |
| Provider Name | Edith L Raskin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902959109 PECOS PAC ID: 6204865892 Enrollment ID: I20050804000135 |
| Provider Name | James G Farnham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386662997 PECOS PAC ID: 5991707465 Enrollment ID: I20090909000082 |
| Provider Name | Savann Donovan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053549238 PECOS PAC ID: 3971733015 Enrollment ID: I20140311000796 |
| Provider Name | Anna Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275759979 PECOS PAC ID: 5193001980 Enrollment ID: I20170410001682 |
| Provider Name | Susan Edinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922516434 PECOS PAC ID: 6406180348 Enrollment ID: I20190626000946 |
| Provider Name | Alicia Rodio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215356076 PECOS PAC ID: 3870877434 Enrollment ID: I20200527000371 |
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Isaacs & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Main St, Suite 4, Walpole, MA 02081 Phone: 508-668-3284 Fax: 508-668-3381 | |
Kathleen Schuster Psyd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 West St, Walpole, MA 02081 Phone: 508-951-0847 Fax: 508-921-4613 | |
Jeni Labbe, Lmhc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 School St Unit 5, Walpole, MA 02081 Phone: 774-469-0522 |